| NPI | 1740402940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEORA J. BREWER Credentialing Manager West Region 303-438-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-01-27 |